[Ovarian cysts. The respective role of clinical examination, echography, biological markers and cytology].
The authors assess the value of clinical examinations and para-clinical examinations carried out when an ovarian cyst is discovered. They try to find out whether a diagnosis of the aetiology is possible before the operation and particularly whether the cystic forms of cancer can be detected pre-operatively. The study is concerned with a retrospective assessment of 358 patients. The first line of investigation was seen to be ultrasound which is effective in 91% of cases. When the level of CA-125 is above 35 U/ml that suggests that there may be a malignant neoplasm present. The test is sensitive to about 78.6% and specific at 76%. 96 cysts were considered to be benign using clinical and para-clinical examinations and were punctured under ultrasound control or laparoscopically. The cytology could not be interpreted in 15%. Only one borderline tumour of the ovary was found. 25.3% of cysts that had been aspirated recurred and this is a high figure. Given these figures, the authors suggest a diagnostic and therapeutic program for ovarian cysts.
Forest
A M
AM
Clinique Gynécologique, Hôpital Edouard-Herriot, Lyon.
Brémond
A
A
Lévèque
J
J
Viallet
A
A
D000293:Adolescent; D000328:Adult; D015295:Antigens, Tumor-Associated, Carbohydrate / Q000032:analysis; D015415:Biomarkers / Q000737:chemistry; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010048:Ovarian Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology; D010051:Ovarian Neoplasms / Q000737:chemistry / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D012189:Retrospective Studies; D014463:Ultrasonography
D015295:Antigens, Tumor-Associated, Carbohydrate; D015415:Biomarkers; D014408:Biomarkers, Tumor
Kyste de l'ovaire. Places respectives de l'examen clinique de l'échographie, des marqueurs biologiques et de la cytologie.